Application for Funding
Country Food Distribution Program
Applicant Identification
Organization/Business Name:
Address:
Phone Number:
Community:
Fax:
Postal Code:
Email Address:
Purpose of Society/ Organization:
Contact Person:
Position:
Municipal Corporation
Hunters & Trappers Organization
Not-for-profit Organization
Co-operative
Society
*
*
*
*Proof of good standing with legal registries or
Supervisor of Co-operatives is required with
application
Brief Description of Project:
Please provide a brief description of the project (100 words or less) that answers the following questions:

How the project will help reduce poverty in your community?

What people and partners will you work with on this project?

Which specific groups in your community will benefit from the project?

What building or facilities will be used and/or affected by the project?
Project Start Date
/
Y
/
M
/
D
Project Category
Project Completion Date
/
Y
/
M
/
D
Detailed Description Fill out totals here, attach detailed quote to
application.
A-1 Sustainability planning
A-2 Country food inventory
A-3 Country food for public distribution
A-4 Harvesting and cut & wrap training
B-1 Provision of technical and professional services
B-2 Repair of existing community freezer facilities
$
$
$
$
$
$
B-3 Purchase and installation of new community freezer
components and infrastructure, including chest freezers
$
B-4 Installation and construction of associated cut &
wrap facilities and equipment
$
C-1 Purchase of country food community market
equipment and supplies
$
C-2 Design, purchase and installation of country food
community market infrastructure
$
C-3 Country food market events
$
Total Project Cost:
$
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Application For Funding – Country Food Distribution Program v.3.0
Application for Funding
Country Food Distribution Program
Sources of Funding
Small Business Support Program (ED&T)
Nunavut Harvester Support Program (NTI)
Community Harvesters Assistance Program (DoE)
Regional Inuit Organization
Canadian Northern Economic Development Agency
Municipal Corporation
Other (Please provide details)
$
$
$
$
$
$
$
Equity: Cash
In Kind
$
Loans (Specify)
$
$
$
TOTAL PROJECT FUNDS (add all columns) $
Project Benefits, Support and Impacts
Does this project have a training component?
yes
no
What type of training is proposed?
Harvesting
Cut and Wrap
Freezer management/maintenance
What groups will be involved in the training? (Estimate number)
Youth ______
Elders _____
Subsistence Hunters_____
Support for project has been received from:
Hamlet Council
Hunters and Trappers Organization
Inuit Organizations
Other (specify) ________________________________
What impacts will this project have on Nunavut’s environment?
What groups will benefit from this project? (Food Recipients)
Youth
Elders
Subsistence Hunters
Expectant Mothers
Income Support Recipients
Disabled
Other (specify)___________
How will the project strengthen relationships between different
organizations in your community? Which ones?
Can wildlife sustain the use proposed in this project?
Declaration of Applicant
I swear that I have personal knowledge of the matters discussed in this application and state that: To the best of my knowledge, all
statements made and material provided by or on behalf of the undersigned are true and correct:






The proposed sustainability plan or project complies with municipal, territorial or federal laws;
I agree to provide representatives of the Department of Economic Development & Transportation (and all other organizations
supplying project funding), with access to the site and premises of the project;
I authorize the Department of Economic Development & Transportation to obtain proof of good standing about the organization
from any source;
If approved, the organization agrees to supply relevant receipts requested by the Department of Economic Development &
Transportation and all other organizations supplying project funding; and
I understand that the names of individuals and companies that receive contributions from the Department of Economic
Development & Transportation, together with the amounts of those contributions, may be released to the Minister, the Legislative
Assembly, municipalities, and the general public; and
I make this declaration believing it to be true and knowing that it is of the same force and effect as if made under oath.
Signature: ________________________________________________________
Signed this ______ day of ______________, 20____, in the community of ________________________, Nunavut
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Application For Funding – Country Food Distribution Program v.3.0
Application for Funding
Country Food Distribution Program
Submit your completed application to:
The Economic Development Officer
In your municipality
or to ED&T
Kitikmeot Community
Operations Office
P.O. Box 316
Kugluktuk, NU
X0B 0E0
(867) 982-7442 phone
(867) 982-3204 fax
Kivalliq Community Operations
Office
P.O. Bag 002
Rankin Inlet, NU
X0C 0G0
(867) 645-8451 phone
(867) 645-8455 fax
South Qikiqtaaluk Community
Operations Office
P.O. Box 612
Pangnirtung, NU
X0A 0R0
(867) 473-2661 phone
(867) 473-2663 fax
North Qikiqtaaluk Community
Operations Office
P.O. Box 389
Pond Inlet, NU
X0A 0S0
(867) 899-7344 phone
(867) 899-7348 fax
Program information may also be obtained from:
Nunavut Anti-Poverty Secretariat
P.O. Box 1000, Station 1500
Iqaluit, NU
X0A 0H0
edt@gov.nu.ca
(888) 975-5999 phone
(867) 975-7870 fax
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Application For Funding – Country Food Distribution Program v.3.0